MRI Reports

MRI Reports (3472)

MRI Reports Database

Sunday, 27 December 2015 16:48

14914

Written by
hs/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz Salulmn / F / 2 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O fever, vomiting, loose motions and seizures (single episode on 00.00.00) since 5-6 days.
C/O left hemiparesis since 3 days.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T2 Weighted sagittal images.
5 mm thick FLAIR coronal images.

OBSERVATION :

There are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images within the putamen and the head of the caudate nuclei bilaterally.

There are areas following CSF signal characteristics on all the pulse sequences anterior to both temporal lobes and these may represent arachnoid cysts.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The cervical spine was screened with 3 mm thick T2 Weighted sagittal and FLAIR coronal images and does not reveal any significant feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal within the putamen and the head of the caudate nuclei bilaterally and this may be the result of hypoxic-ischemic insult.
Sunday, 27 December 2015 16:48

14913

Written by
ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzesh M. Jalmn / M / 11 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with giddiness since 15 days.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is slight prominence of the cerebellar folia bilaterally.

There is no focal area of altered signal intensity in the brain parenchyma.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of right maxillary sinusitis and enlarged adenoids.

IMPRESSION :

No significant abnormality detected on this study.
Sunday, 27 December 2015 16:48

14911

Written by
ke/bv/nl/rg.
] Date : 00.00.00

Name of the Patient : Abc Xyz. Dlmn / F / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O involuntary movements of the body with dysarthria since the age of 8 years.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

A prominent perivascular space is seen in the right centrum semiovale.

Hyperintense signal on the proton, T2 Weighted and FLAIR images adjacent to the right frontal horn may represent ependymitis granularis.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of enlarged adenoids.

IMPRESSION :

Normal study of the Brain.
Sunday, 27 December 2015 16:48

14910

Written by
ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc XyzSonalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache and increased frequency in passing urine since 2-3 months.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is an intradural oval shaped mass lesion at the L2-L3 level which measures approximately 4.0 x 1.2 x 1.1 cms. This lesion is slightly hypointense to cord on the T1 Weighted images and turns heterogeneously hyperintense on the T2 Weighted images. The nerve roots are not well-identified over this level. The mass is only faintly visualized on the T1 Weighted images.

There is retrolisthesis of the L5 over the S1 vertebral body with a pseudoposterior disc herniation at the L5-S1 level. Small peridiscal osteophytes are also noted at this level. The L5-S1 intervertebral disc shows loss of water content.

The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.

The visualized dorso-lumbar spinal cord reveals normal signal intensity.


The conus medullaris terminates at the L1 level and the thecal terminated at the S2 level.

The brain was screened with 5 mm thick T2 Weighted axial images and does not reveal any diagnostic feature of note.

IMPRESSION :

1. An intradural mass lesion at the L2-L3 level measuring approximately 4.0 x 1.2 x 1.1 cms. is not specific for a single etiology. The possibilities to be considered are :

a. Nerve sheath tumor.

b. Meningioma.

C. Ependymoma.

2. Retrolisthesis of the L5 over the S1 vertebral body with a pseudoposterior disc herniation and small peridiscal osteophytes at the L5-S1 level.

A contrast enhanced scan would be worthwhile.
Sunday, 27 December 2015 16:48

14909

Written by
ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz. Balmn / F / 13 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.

CLINICAL PROFILE :

C/O limp on the right side with deformity of the RLE since 3 years.

EXAMINATION :

M.R.I of the cervical spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The spinal cord over the C6 to D1 levels appears a little smaller. There also appear to be hyperintense areas on the Fast Scan (T2 *) images within the cord in the region of the anterior horn cells over the C3-C4 to C6-C7 levels.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

The dorsal spine was screened with 4 mm thick T1 Weighted sagittal images and the lumbo-sacral spine was screened with 5 mm thick T1 Weighted sagittal images. The dorsal spinal cord appears to be slightly smaller than normal.

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IMPRESSION :

The MRI features are suggestive of altered cord signal over the C3-C4 to C6-C7 levels with slight thinning of the lower cervical and dorsal spinal cord as described.

Motor neuron disease should be excluded.
Sunday, 27 December 2015 16:48

14908

Written by
ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc XyzKaclmn / M / 24 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Right Shoulder.

CLINICAL PROFILE :

C/O pain in the right shoulder since 1 1/2 years.

EXAMINATION :

M.R.I of the right shoulder was performed using the following parameters :

4 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

4 mm thick T1 Weighted sagittal images.

4 mm thick T1 Weighted, Proton and T2 Weighted (with fat saturation) coronal images.

OBSERVATION :

Very minimal fluid which is hyperintense on the T2 Weighted and Fast Scan (T2 *) images is seen in the glenoid fossa (103/12, 102/12 & 107/6).

The acromion is down sloping.

The head of the right humerus shows normal contour and the head and upper shaft of the right humerus show normal signal intensity. The visualized scapula appears normal. The glenoid labrum is unremarkable. The biceps tendon in the biciptical groove shows normal signal intensity.

The articular cartilage of the head of the right humerus appears normal.

The tendinous insertion of the supraspinatus muscle shows normal signal intensity. There is no evidence of fluid in the subdeltoid bursa. There is no evidence of a tear of the supraspinatus muscle. The soft tissues around the right Shoulder joint are unremarkable.
..2/.







There is no obvious bone erosion or destruction seen.

The acromio-clavicular joint is normal.

The visualized axilla is unremarkable.

IMPRESSION :

The MRI features are suggestive of very minimal fluid in the glenoid fossa.




Sunday, 27 December 2015 16:48

14907

Written by
ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyzsalmn / M / 36 yrs.
Referred by : Dr. Abc Xyzchant / Dr. Abc Xyzthwani
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :
C/O backache radiating to the RLE since 3 months.
H/O fall from a height with fracture of the L2 vertebra.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is partial sacralization of the L5 vertebra on the left side.

There is a fracture of the L2 vertebral body without any signal change.

Small posterior peridiscal osteophytes are noted at the L1-L2 and L2-L3 levels with mild anterior indentation of the thecal sac.

A small posterior disc bulge is seen at the L4-L5 level with ventral indentation upon the thecal sac.

The facet joints at the L3-L4 and L4-L5 levels show hypertrophy.

The lumbar vertebral bodies and the intervertebral discs reveal normal signal intensity. The remaining facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
..2/.





>

The conus medullaris terminates at the D12 level and the thecal sac terminates at the S1 level.

The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

18.0 mm at L1-L2
17.0 mm at L2-L3
17.0 mm at L3-L4
15.0 mm at L4-L5
13.0 mm at L5-S1.

IMPRESSION :

1. Partial sacralization of the L5 vertebra on the left side.

2. Fracture of the L2 vertebral body without any signal change.

3. Small posterior peridiscal osteophytes at the L1-L2 and the L2-L3 levels.


Sunday, 27 December 2015 16:48

14906

Written by
ke/bv/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Chlmn / F / 70 yrs.
Referred by : Dr. Abc Xyzbar.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

H/O backache with fever and chills.
Now C/O paraplegia with bladder involvement since 7 days.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is slight anterior wedging of the D12 vertebral body.

There is replacement of the normal marrow of the D11 and D12 vertebral bodies by hypointense areas on the T1 Weighted images. This is seen to turn heterogeneously hyperintense on the T2 Weighted images. The antero-superior cortical endplate of the D12 and the antero-inferior cortical endplate of the D11 vertebral body is breached with involvement of the D11-D12 intervertebral disc. The pedicles of these vertebrae are also involved. There is mild pre and paravertebral soft tissue extension at the D11 and D12 vertebral levels. Very minimal anterior epidural extension is seen at the D12 level with compression of the conus and the nerve roots.

The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints are unremarkable.



The visualized dorso-lumbar spinal cord reveals normal signal intensity.

The conus medullaris terminates at the D11-D12 level.

The cervico-dorsal spine was screened with 4 mm thick T1 Weighted sagittal images which does not reveal any diagnostic feature of note.

IMPRESSION :

The MRI features are suggestive of altered signal of the D11 and D12 vertebral bodies with involvement of the D11-D12 intervertebral disc and soft tissue extensions as described is not specific for a single etiology. The differential diagnosis would include,

1. Granulomatous infective process like tuberculosis.

2. Neoplastic process like round cell tumor (less likely).

Sunday, 27 December 2015 16:48

14905

Written by
ke/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi lmn / M / 78 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O gait imbalance and speech disturbances since 3 months with hearing loss on the left side since 4-5 years.

EXAMINATION :

M.R.I. of the brain was performed using the following parameters:

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

MR Cisternogram was obtained in the coronal plane.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the bilateral periatrial white matter. These are isointense to white matter on the T1 Weighted images and are probably ischemic in etiology.

There is fullness of both the lateral, third and fourth ventricles. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are prominent. There is no shift of the midline structures.

Mild inflammatory changes are noted in the right mastoid air cells.
..2/.




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INTRACRANIAL MRA :

The left vertebral artery is hypoplastic.

There is slight flow signal attenuation within the distal aspect of the M1 segment of the left middle cerebral artery.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The left vertebral artery in the neck also appears hypoplastic.

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Areas of altered signal in the bilateral periatrial white matter are probably ischemic in etiology.

2. Age related cerebral and cerebellar atrophy.

3. Slight flow signal attenuation within the distal aspect of the M1 segment of the left middle cerebral artery.



Sunday, 27 December 2015 16:48

14904

Written by
sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzalmn / M / 52 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O memory impairment and behavioral disturbances for 2 hours on 00.00.00. H/O raised blood pressure at that time. Known hypertensive on treatment.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

There is no focal area of altered signal intensity within the brain parenchyma.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted in the ethmoidal air cells and left maxillary antrum.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
Scan-00004

NECK MRA :

There is seen a plaque along the antero-medial wall of the terminal right common carotid artery just proximal to its bifurcation with resultant stenosis of the vessel. The origin of the right external carotid artery also appears slightly compromise.

The left common carotid artery and its bifurcation and the vertebral arteries are unremarkable.

IMPRESSION :

1. No significant abnormality noted within the brain parenchyma or the intracranial MRA on this study.

2. An atheromatous plaque along the antero-medial wall of the terminal right common carotid artery with resultant stenosis of the same and slight compromise of the right external carotid artery.